Low carbohydrate diet may be effective strategy for managing diabetes, research suggests

Following a reduced carbohydrate diet can help to lower blood glucose levels, providing a safe and effective strategy for managing diabetes, new research by London Metropolitan University suggests.

In an abstract published in the Proceedings of the Nutrition Society, the authors conducted a systematic review of previous intervention studies, analysing changes to participant's glycated haemoglobin levels following a switch to a lower carbohydrate diet. Glycated haemoglobin forms when haemoglobin, a protein in red blood cells, combines with glucose and is used to measure long-term blood glucose levels.

The review, which was conducted by Michelle McKenzie and Sarah Illingworth from London Met's School of Human Sciences, found that individual's glycated haemoglobin levels fell when following a reduced carbohydrate diet (up to 120g per day) with the greatest reduction of 2.2% observed in those consuming under 30g per day.

Lead author Michelle McKenzie said: "Our findings suggest that a reduced carbohydrate diet can be an effective technique for managing diabetes and new guidelines that promote lower carbohydrate intakes for both the general population, and those with diabetes, should seriously be considered.

"More long-term studies are required to ensure that the results can be confidently translated into clinical practice, however, the science at this point in time is compelling and should not be ignored."

Participants following a reduced carbohydrate diet reported a significant decrease in bodyweight, losing a median of 4.7kg over a two year period compared to 2.9kg lost by those consuming a low fat diet. A low carbohydrate diet was also associated with a decrease in the psychological stress associated with diabetes management and a reduction in negative moods between meals.

Co-author Sarah Illingworth said: "It's important to consider which food groups should be used to replace carbohydrates when altering diet. Previous research has shown that diets high in fat, particularly saturated fat, carry risks for people with Type 2 diabetes.

"Clinical guidelines should be reviewed to consider including low carbohydrate diets as a diabetes management strategy but this does not mean that it will suitable, or beneficial, for everyone. Changes to diet should only be undertaken after consulting with a qualified dietitian and taking into account individual medical needs."

http://www.news-medical.net/news/20170307/Low-carbohydrate-dietc2a0may-be-effective-strategy-for-managing-diabetes-research-suggests.aspx

graham64 wrote:Following a reduced carbohydrate diet can help to lower blood glucose levels, providing a safe and effective strategy for managing diabetes, new research by London Metropolitan University suggests.

In an abstract published in the Proceedings of the Nutrition Society, the authors conducted a systematic review of previous intervention studies, analysing changes to participant's glycated haemoglobin levels following a switch to a lower carbohydrate diet. Glycated haemoglobin forms when haemoglobin, a protein in red blood cells, combines with glucose and is used to measure long-term blood glucose levels.

The review, which was conducted by Michelle McKenzie and Sarah Illingworth from London Met's School of Human Sciences, found that individual's glycated haemoglobin levels fell when following a reduced carbohydrate diet (up to 120g per day) with the greatest reduction of 2.2% observed in those consuming under 30g per day.

Lead author Michelle McKenzie said: "Our findings suggest that a reduced carbohydrate diet can be an effective technique for managing diabetes and new guidelines that promote lower carbohydrate intakes for both the general population, and those with diabetes, should seriously be considered.

"More long-term studies are required to ensure that the results can be confidently translated into clinical practice, however, the science at this point in time is compelling and should not be ignored."

Participants following a reduced carbohydrate diet reported a significant decrease in bodyweight, losing a median of 4.7kg over a two year period compared to 2.9kg lost by those consuming a low fat diet. A low carbohydrate diet was also associated with a decrease in the psychological stress associated with diabetes management and a reduction in negative moods between meals.

Co-author Sarah Illingworth said: "It's important to consider which food groups should be used to replace carbohydrates when altering diet. Previous research has shown that diets high in fat, particularly saturated fat, carry risks for people with Type 2 diabetes.

"Clinical guidelines should be reviewed to consider including low carbohydrate diets as a diabetes management strategy but this does not mean that it will suitable, or beneficial, for everyone. Changes to diet should only be undertaken after consulting with a qualified dietitian and taking into account individual medical needs."

http://www.news-medical.net/news/20170307/Low-carbohydrate-dietc2a0may-be-effective-strategy-for-managing-diabetes-research-suggests.aspx

"the greatest reduction of 2.2% observed in those consuming under 30g per day"

I wonder what the average HbA1c was before going on a 30 carb per day diet was. I dropped 6% from 12 to mid 5's with a 30 carbs per day regime. This was nothing spectacular, many have done the same. "consulting with a qualified dietitian" good luck with that. Also, "Previous research has shown that diets high in fat, particularly saturated fat, carry risks for people with Type 2 diabetes" totally wrong. But hey they got some of it right.

Eddie wrote:I wonder what the average HbA1c was before going on a 30 carb per day diet was. I dropped 6% from 12 to mid 5's with a 30 carbs per day regime. This was nothing spectacular, many have done the same. "consulting with a qualified dietitian" good luck with that. Also, "Previous research has shown that diets high in fat, particularly saturated fat, carry risks for people with Type 2 diabetes" totally wrong. But hey they got some of it right.

Agreed the odds of finding a dietitian who has a practical knowledge of low carb is slim to say the least, maybe if we could clone Trudi Deakin then things could be different 

At least some people are FINALLY converting some of those "just anecdotes" into data. Though they aren't yet very good at it.

"More long-term studies are required to ensure that the results can be confidently translated into clinical practice, however, the science at this point in time is compelling and should not be ignored."

Currently there's a sort of informal contest on Twitter between Ted Naiman and other US doctors and David Unwin and other UK doctors for the biggest and fastest improvement, like from 16.8% to under 6% in a matter of months.

Over a decade ago now and people on the ADA Forum were routinely reporting "impossible" reductions in A1c. 5 - 8% was routine, 10 - 13% was not unknown. Pity the ADA itself failed to notice or we'd have those long term studies by now.